Consumer-Directed Health Plans Reduce The Long-Term Use Of Outpatient Physician Visits And Prescription Drugs

2013 ◽  
Vol 32 (6) ◽  
pp. 1126-1134 ◽  
Author(s):  
Paul Fronstin ◽  
Martín J. Sepúlveda ◽  
M. Christopher Roebuck
Keyword(s):  
Prescription Drugs ◽  
Health Plans ◽  
Physician Visits ◽  
Outpatient Physician ◽  
Consumer Directed Health Plans

scholarly journals The long term effects of “Consumer-Directed” health plans on preventive care use

2017 ◽  
Vol 55 ◽  
pp. 61-75 ◽  
Author(s):  
Matthew D. Eisenberg ◽  
Amelia M. Haviland ◽  
Ateev Mehrotra ◽  
Peter J. Huckfeldt ◽  
Neeraj Sood
Keyword(s):  
Preventive Care ◽  
Health Plans ◽  
Long Term Effects ◽  
Consumer Directed Health Plans

Abstract 03: Outpatient Care Preceding Incident Heart Failure (HF) and Implications for Long-Term Outcomes. The Atherosclerosis Risk in Communities (ARIC) Study

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Anna Kucharska-Newton ◽  
Lloyd Chambless ◽  
Ricky Camplain ◽  
Carmen Cuthbertson ◽  
Patricia Chang ◽  
...  
Keyword(s):  
Outpatient Care ◽  
Primary Care Physicians ◽  
Fee For Service ◽  
Physician Visits ◽  
Comorbidity Score ◽  
Risk Of Death ◽  
Outpatient Visits ◽  
Outpatient Physician ◽  
One Year ◽  
Aric Study

Hypothesis: We hypothesized that outpatient management of patients at risk for a HF hospitalization is associated with lower mortality following an incident HF hospitalization. Methods: Patterns of outpatient visits prior to incident HF hospitalization were assessed among CMS Medicare beneficiaries with continuous fee-for-service eligibility residing during 2003-2006 in four geographic areas of CVD surveillance conducted by the ARIC Study. Incident HF hospitalization was defined as hospitalization with ICD9 code 428.x with no HF hospitalizations in preceding 2 years. Outpatient visits to primary care physicians, general internists, or cardiologists were identified from Carrier files. A comorbidity score was calculated from ICD9 codes at the time of incident HF hospitalization. Cox proportional hazard models adjusted for age, comorbidity score, gender, and race were used to estimate mortality. Results: Mean age among beneficiaries with observed incident HF hospitalization (n=2006; 90.4% white, 45.1% male) was 79.8 years (SD 7.4). Mean comorbidity score was 3.6 (SD 1.9). Mean number of outpatient physician visits occurring in two years preceding the incident HF hospitalization, was 9.6 (SD 9.0); 19.6% beneficiaries had no observed prior outpatient physician visits. Risk of death within one year of incident HF hospitalization was greater among those with no preceding outpatient physician visits as compared to those with at least one physician visit (adjusted HR=1.81 (95% CI 1.50, 2.18); Figure). Adjustment for the presence of an outpatient visit within 2 weeks following the HF hospitalization attenuated the risk of death (HR=1.56 (1.29, 1.89)). Conclusion: Lack of outpatient care in two years prior to a HF-related hospitalization is associated with increased mortality within one year following hospitalization. Further inquiry is warranted to assess whether the association reflects diversity in causes/manifestations of HF, ambulatory care received in ED settings, or benefits associated with outpatient care.

scholarly journals Financial Risk for COVID-19–like Respiratory Hospitalizations in Consumer-Directed Health Plans

2020 ◽  
Vol 59 (3) ◽  
pp. 445-448 ◽  
Author(s):  
Matthew D. Eisenberg ◽  
Colleen L. Barry ◽  
Cameron L. Schilling ◽  
Alene Kennedy-Hendricks
Keyword(s):  
Financial Risk ◽  
Health Plans ◽  
Consumer Directed Health Plans

Do Consumer-Directed Health Plans Drive Change In Enrollees’ Health Care Behavior?

2008 ◽  
Vol 27 (4) ◽  
pp. 1120-1131 ◽  
Author(s):  
Anna Dixon ◽  
Jessica Greene ◽  
Judith Hibbard
Keyword(s):  
Health Care ◽  
Health Plans ◽  
Consumer Directed Health Plans ◽  
Care Behavior

scholarly journals The Effects of Consumer-Directed Health Plans on Health Care Spending

2010 ◽  
Vol 77 (1) ◽  
pp. 85-103 ◽  
Author(s):  
Anthony T. Lo Sasso ◽  
Lorens A. Helmchen ◽  
Robert Kaestner
Keyword(s):  
Health Care ◽  
Health Care Spending ◽  
Health Plans ◽  
Consumer Directed Health Plans
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